I{BL ffi::rx Specialized Deposit Slip (}

seriar # iazl zel The Aga Khan Hospital

and Medical College Foundation

Collecting |Lff)z Branch

Branch Name \ \\ (I- Address
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Date(DD/lt/tt/ffY) \ p D
,)y
Credit of AKHIt/CF
Collection A/c. at State Life 0 0 4 2 7 7 0 0 0 7 1 2 0 3 %'tF 2-L7t zB?
Received From AKHIT/CF Collection Point Location: C!-L-)
PARTICULARS DETAILS OF NOTES AMOUNT

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f Cheque No.__ Dated Y t"

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Bank / Branch Name Sam Brennh f-ash I eoosit

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Amount ln words
It i ler iuub llY I 1fit8
Depositor Signature
t\rJlil ftal, r*{ Bank Cashier Bank

Note: Only one instrumgEtF is allowefl on one deposit slip.

Distributron of copies , 2 h)fr1t",Botkti.n potnt coov * Pink Collectino Branch Copy * Green:AKHIT,4CF Copv